NEWSLETTER 2340 S. River Road, Suite 208 | Des Plaines, IL 60018 | 847-813-9823 | www.saem.org JULY-AUGUST 2016
VOLUME XXXI NUMBER 4
Raised To Be An Academic
EM PHYSICIAN An interview with Riley Grosso, MD
Leading the advancement of emergency care through education and research, advocacy, and professional development in academic emergency medicine.
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AEM Editor in Chief Jeffrey Kline, MD AEMEditor@saem.org AEM E&T Editor Susan Promes, MD AEMETeditor@saem.org AEM/AEM E&T Manager Stacey Roseen Ext. 207, firstname.lastname@example.org AEM/AEM E&T Editorial Coordinator Taylor Bowen email@example.com Assistant Newsletter Editor Sharon Atencio firstname.lastname@example.org
Presidentâ€™s Comments Our Number One Goal: Serving You By Andra Blomkalns, MD
EM Physician in the Spotlight Raised to be an EM Physician SAEM Talks with Riley Grosso, MD
Knowledge is Power By Jeffrey A. Kline, MD
Regional Meeting Report SAEM New England Regional Meeting Sees Highest Attendance Ever
SGEM: Did You Know? Elderly Mechanical Falls: Do Sex Differences Exist? By Marna Greenberg, DO
Resident-Student Guide Senior Residents: Where Should You Go from Here? By Joel Brooks, DO
Annual Meeting Wrap-Up
Briefs and Bullet Points
2016-2017 BOARD OF DIRECTORS Andra L. Blomkalns, MD President University of Texas Southwestern at Dallas
James F. Holmes, Jr., MD, MPH University of California Davis Health System
D. Mark Courtney, MD President-Elect Northwestern University Feinberg School of Medicine
Amy H. Kaji, MD, PhD Harbor-UCLA Medical Center
Richard Wolfe, MD Beth Israel Deaconess Medical Center/ Harvard Medical School
Ian B.K. Martin, MD, MBA University of North Carolina School of Medicine
Riley P. Grosso, MD University of Cincinnati College of Medicine
Steven B. Bird, MD Secretary/Treasurer University of Massachusetts Medical School Deborah B. Diercks, MD, MSc Immediate Past President University of Texas Southwestern at Dallas
Ali S. Raja, MD, MBA, MPH Massachusetts General Hospital
Angela M. Mills, MD Perelman School of Medicine, University of Pennsylvania
The SAEM Newsletter is published bimonthly by the Society for Academic Emergency Medicine. The opinions expressed in this publication are those of the authors and do not necessarily reflect those of SAEM. For Newsletter archives visit http://www.saem.org/publications/newsletters ÂŠ 2016 Society for Academic Emergency Medicine. All rights reserved. No part of this publication may be reproduced, stored, or transmitted in any form or by any means without prior permission in writing from the copyright holder.
PRESIDENT’S COMMENTS Andra Blomkalns, MD University of Texas Southwestern Medical Center at Dallas SAEM President 2016-2017
Our Number One Goal: Serving You It was my honor and pleasure to assume the role as SAEM President this past May in New Orleans—the city where I was born and spent my childhood years and where the society recently convened its most auspicious annual meeting ever.
“The Society for Academic Emergency Medicine is at its strongest point in the organization’s history.”
The Society for Academic Emergency Medicine is at its strongest point in the organization’s history. We’ve celebrated a new strategic plan, a new AEM editorin-chief, the formation of a new journal for education and training, and a new CEO. We’ve increased member engagement, achieved record membership numbers, and as mentioned previously, recently concluded the most successful annual meeting in our society’s 27-year history. Emergency Medicine is the most resourceful and innovative specialty in medicine. My goal as your president is to facilitate SAEM as an organization that fosters that natural talent for advancing patient care, whether through education,
research, or serving as a model for our trainees. The number one goal of our organization is to serve you, so during my year as president, I plan to stress three main priorities: 1. Providing excellent and expanded services and resources for members. 2. Implementing new and robust features of all of our electronic platforms to serve our members in all career pathways and stages. 3. Bringing forward inventive approaches to ways SAEM can serve our researchers, educators, trainees, and administrators. We are committed to achieving total member satisfaction by delivering the kind of service and services that exceed your expectations. SAEM is your organization. It works best when it reflects your interests and answers your needs. Thank you for the honor and privilege of leading your society.
Introducing your new SAEM President… Andra Blomkalns, MD, is a professor, clinician specialist, and researcher at the University of Texas Southwestern Medical Center in Dallas where she is also vice chair of academic affairs and business development in the department of emergency medicine. Previously Dr. Blomkalns was associate professor, residency program director, and vice chair in the department of emergency medicine at the University of Cincinnati. Dr. Blomkalns received her MD from Louisiana State University and completed her residency at the University of Cincinnati where she was chief resident. Dr. Blomkalns’ contributions to the Society for Academic Emergency Medicine are many, including serving as a member and chair of several subcommittees and committees, including the Annual Meeting Program Committee in 2010 and 2011. Andra is also an active member of SAEM’s Academy of Women in Academic Emergency Medicine (AWAEM). Prior to being installed as SAEM president at the annual meeting in May, Andra had served on the SAEM Board of Directors as secretary-treasurer and president-elect. Read more about SAEM’s new president, Dr. Andra Blomkalns, in the September-October issue of SAEM Newsletter, where she will be featured in our front-cover Spotlight section.
Raised To Be An Academic
EM PHYSICIAN Emergency medicine was the most natural choice in the world for me because it is just an extension of how I was raised. Riley P. Grosso, MD, is the new Resident Member of the SAEM Board of Directors for 2016-17. Dr. Grosso was born and raised on a horse farm in Battle Creek, Michigan. After a whirlwind childhood of everything from white water canoeing to zoologistin-training (seriously), she attended the University of Michigan
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for her undergraduate degree. Dr. Grosso went on to attend
medical school at the University of Cincinnati she where she did what every Michigander fears most... She fell in love with Ohio. Although she’ll always bleed Maize and Blue, the combination of the city, the people and the program made remaining in Cincinnati for her residency, where she is presently a third-year, an easy decision. Dr. Grosso plans on staying in academic emergency medicine when she finishes her residency. Her academic interests include patient safety and helping medical students and interns navigate the transition to “real doctors.” Dr. Grosso has been a part of a 4th year capstone course since starting residency and edits/publishes a quarterly department publication.
SAEM Talks with Riley Grosso, MD What did you want to be when you were growing up? I had the typical aspirations when I was a kid— marine biologist and architect stick out as particularly persistent ambitions in elementary school. However, I get incredibly sick on boats and have zero right brain abilities, so those dreams fell to the wayside. I’ve never been one to make sudden, sweeping declarations and therefore I can’t really pinpoint my “I am going to be a doctor” moment. Looking back, I can pick out a few experiences interacting with the health profession that may have influenced my decision but none of them were “the moment I knew.” I think all of those moments built to a critical mass during high school and I started thinking about medicine as my future.
Why did you choose the academic/EM specialty? It took exactly one hour into my first shift as an MSIII for me to decide that emergency medicine was home for me. I watched the 3rd-year resident run from room to room talking to consultants in medical jargon and then turning to a scared family member and putting them at ease, and then turning around and joking with the nurses. It occurred to me that my parents had (accidentally) been preparing me for a life as an EM physician all along. Because my parents thought diversity of experience was important, I would often go from school to math club to basketball practice and then to the barn to ride my horse. Even on the surface this easily
“Part of the reason I like medicine is that it satisfies my inner teacher. Not only do I get to teach medical students or junior residents but I like to think of every patient encounter as an educational interaction.”
translates to a life in emergency medicine—now instead of trading out a calculator for my cowboy boots, I trade a laryngoscope blade for an ultrasound probe. On a less obvious level, the many diverse groups of people I learned to interact with on a daily basis prepared me for the subtler aspects of this job—connecting with people quickly makes the work I do easier and infinitely more enjoyable and I have been practicing that for as long as I can remember. Emergency medicine was the most natural choice in the world for me because it is just an extension of how I was raised.
Talk about someone you admire. I have been extremely fortunate to have many people in my life whom I admire: my parents, grandparents, coaches, teachers, co-residents, attendings, and even patients, all deserve this space to be dedicated to them. Brock, my younger brother, is someone who continues to gain more and more of my admiration as we get older. He is a community organizer in Chicago and the way he tries to be better every day has been a major source of inspiration for me in the last few years. Brock is more aware of his own biases than anyone I’ve ever met and constantly questions what he has been taught as truth about people and situations around him. I would be an infinitely better physician (and person) if I could challenge my own status quo and embrace my own biases as much as he does. Everyone hates talking about things they are bad at or things they are wrong about, but Brock is constantly identifying those things in himself and running at them head on. Talking to him always inspires me to have a tough conversation or address a deficit in my abilities that I have been trying to pretend doesn’t exist.
If you weren’t doing what you do, what would you be doing instead, and why? If I were not a physician, I would probably be a high school science teacher. I come from a long line of teachers—my mom was a science teacher; my uncles are science teachers. Teaching is in my DNA. I remember distinctly watching my mom interrupt my cousin’s bedtime story to explain that the sun did not actually rise because flying horses dragged it across the sky. I thought it was ridiculous at the time but I recently found myself explaining that the earth revolves around the sun to my godson and realized that I’ve come full circle. Part of the reason I like medicine is that it satisfies my inner teacher. Not only do I get to teach medical students or junior
residents but I like to think of every patient encounter as an educational interaction. One of my favorite things to do on a pediatric shift is to take an ultrasound into the room of the too-cool teenager and show them something like their heart or their kidney. I get a lot of satisfaction in getting them to put down their iPhones for a few minutes and talk through what we are seeing together.
How and why did you first become involved with SAEM and what has your involvement looked like so far? I have been involved in SAEM as a resident member initially through my program and recently as a facilitator of a didactic session on capstone courses for MSIVs. SAEM16 was the first annual meeting I was able to attend and I was blown away by what people are doing and how they are approaching different issues in emergency medicine. I was able to attend multiple committee meetings in New Orleans and was amazed at how many different issues are being thought about and the variety of people that are collaborating.
What do you wish other people knew about SAEM? I wish people knew how much people in SAEM are invested in the next generation of EM physicians. Every SAEM16 session I went to, every meeting I sat in, and every conversation I was a part of at this year’s annual meeting was focused on how to make the best emergency physician possible in order to better serve our patients. Of course there was a lot of clinical knowledge translation that happened, which I think happens at most medical conferences. What set SAEM16 apart from other medical conferences for me was the focus on the effectiveness of this knowledge translation and the development of physicians who will constantly improve on this bank of knowledge. Not one presenter said “this is the answer, now go forth and save lives.” Instead I heard many variations of “here is an approach to this problem, now go forth and make us better.”
What do you do outside of work for fun and/or relaxation? Outside of work I try to spend as much time as possible actually outside. The amount of sun I see has always been directly related to how relaxed I feel, so the more time outside the better. I also like to bake; it’s a way to pretend I have some right brain talents, when really it’s just cooking for those who are very type A. I like the immediate satisfaction of following a recipe to completion. Although it continues to be a challenge, I find that time spent touching base with my “real people” (non-residency/medicine)
friends has an exponential impact on my mood and overall life outlook. The return on investment of a few extra minutes to talk to friends and family in England or across the country is invaluable.
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What is the most interesting/difficult/rewarding case you’ve been involved with?
My initial instinct was that the answer to this question was three different cases; however, I keep coming back to one case. The case involved a young female who had bad liver disease secondary to alcoholism combined with the severe malnutrition of an eating disorder. She had liver disease that was incredibly advanced for her age. She showed up in our emergency department pulseless after going unresponsive at an outpatient clinic. We worked on her for a short period of time and got her pulse back, ultimately determining that she had a PEA arrest secondary to a profound anemia from an intra-abdominal variceal bleed. Surgery and interventional radiology were involved and neither physician felt his/her intervention would change the outcome for the patient. The decision was made by her family to withdraw care and the patient passed away about 12 hours later. From an “interesting” standpoint, the pathology of the case was something I have never seen before and going through the differential of her PEA arrest and subsequent anemia was a good
intellectual exercise. Treating her underlying pathology included transfusion of blood products and a targeted approach to her coagulation status using TEG, all of which I really enjoy thinking through. It was incredibly difficult to tell her parents and husband that despite our best efforts (>3 hours worth!), we weren’t able to offer them a solution that would preserve her quality of life. It may not seem like a rewarding case but it sparked a conversation between my attending and me about dealing with the feelings of “winning” and “losing” when it comes to patient care. Because of this case and that conversation, I have a framework for dealing with cases that make me feel as if I have lost or failed.
What one word would you use to describe yourself? Deliberate
What one word would your friends use to describe you? Thoughtful (I polled the audience on this one and it turns out my friends all think they are funny. Thoughtful was the least inappropriate suggestion made.)
What’s the one thing about you few people know? I genuinely dislike talking on the phone to people I don’t know. Ordering food on the phone stresses me out. The invention of online ordering is an amazing one! I have a pit in my stomach when I call people I have never talked to before, even though that is what a lot of my job consists of.
On managing the stress of residency… “Find your people, and find a lot of them. Find the people who you can get work done with. Find the people who know how to get you to stop working. Find the people who make you laugh. Find the people you are comfortable crying in front of (I found that whether they are comfortable with your tears is irrelevant). Find the people who will call you out when you are wrong. Find the people who you want to be when you grow up. Find the people you can call in the middle of the night and talk through the case that is keeping you awake. Find the people who remind you there are things outside the walls of the hospital that matter.”
Knowledge is Power “We pledge to forge this new journal into an icon of medical education with bibliometric indices that will be the envy of
Who would play you in the film of your life? Tina Fey. Only because I really want to be friends with her and she might have to spend time with me for “research.”
What is your guiltiest pleasure? Harry Potter. I’ve read the series from start to finish upwards of 20 times and I still love it. I like that it predictably makes me feel things. So if I get back from shift where I need a good cry, I’ll read the parts that make me cry. If I get off a shift and need to be distracted from my emotions, I start at a different part of the series.
What is at the top of your bucket list? My family and I actually made bucket lists when I was younger; I should find that one and see what things I’ve accomplished on it. Traveling to a variety of international locations is the majority of my bucket list at the moment.
Who would you invite to your dream dinner party? My “interview” answer is Abraham Lincoln because I love reading anything he said, especially his inaugural speeches; plus, that time in our country’s history fascinates me. My real answer, however, is probably Jimmy Fallon, Tina Fey, Jerry Seinfeld, and Eddie Izzard because I wish I could be as funny as all of those people… And who doesn’t like to laugh?
What is the most important lesson life has taught you so far? That it will teach you another lesson tomorrow, so roll with the one it taught you today.
By Jeffrey A. Kline, MD At a certain time and place, another person recognized your ability where others, perhaps including you, did not. And that person said words that led you to where you are today. That person was a teacher. “If you win, I win” was what you felt—the spirit of teaching. Many of us who represent academic emergency medicine try to recapitulate this on each shift. We want our knowledge to elevate the human condition during times of emergency. We teach young doctors to place the suture needle perpendicular to the skin, and place the speculum gently in the vagina at 45 degrees, so that it hurts less, and to expertly first-pass a needle into the lumbar cistern of a threeweek old. “Hold it like this” you say, as you show the fourth year medical student how to position his or her index finger just so (perhaps with ultrasound guidance?) on the bendy, 22-gauge needle inserted between the vigorously moving spinous processes—as parents, who have never met their doctors before this day, watch with hands clutched and eyes teared. Scenes from any academic emergency department show the power of knowledge transfer. A teacher has transformed each of us, and teachers of emergency care transform the lives of providers and patients on a daily basis. Until now, they have not had a forum to gift their knowledge and know-how in a peer-reviewed print publication. For this reason, I am especially
excited about our new journal, Academic Emergency Medicine Education and Training (AEM E&T), which is scheduled to launch in January. In the June issue of Academic Emergency Medicine, we presented results of a survey by Jordan, et al (“Publishing Venues for Education Scholarship: A Needs Assessment”) that demonstrates the desire and need for this journal. Also, the inaugural lead editor of AEM E&T, Susan Promes, MD, and I have written an editorial, published in the June AEM, that introduces AEM E&T in fuller detail. We hope you’ll take the time to read these articles and consider submitting to AEM E&T when it begins accepting manuscripts in August. AEM E&T will offer rigorous, but thoughtful and compassionate, peer review. We will reject many papers, but we will explain our reasons with clarity and respect for authors. AEM E&T will be a forum for educators ranging from medical student educators to fellowship directors from all sectors of our globe. We pledge to forge this new journal into an icon of medical education with bibliometric indices that will be the envy of educational scholarship. AEM E&T will exist to spread the power of knowledge transfer in emergency care.
About the Author: Jeffrey Kline, MD, is Editor-in-Chief of SAEM’s flagship journal, Academic Emergency Medicine. Dr. Kline is vice chair of research in emergency medicine and a professor of physiology at the Indiana University School of Medicine.
REGIONAL MEETING REPORT SAEM New England Regional Meeting Sees Highest Attendance Ever By John Tobias Nagurney, MD, MPH and Blair Alden Parry, CCRC, BA Regional Meeting Co-Chairs
A Special Thanks… • To the many volunteers who assisted as moderators for the lightning oral session
SAEM NEWSLETTER | JULY-AUGUST 2016
• To the New England Research Directors (NERDs) steering committee members for aiding in the planning process and for reviewing and scoring abstracts
• To Amy Michaluk of the Department of Emergency Medicine at Brown University for her extraordinary work on organizing this conference. She worked tirelessly on this project with Blair Parry. • To the Department of Emergency Medicine at Brown University and to Chairman Brian J. Zink, MD for allowing the NERDs to share Amy’s talents.
Hosted by Massachusetts General Hospital/ Brigham and Women’s Hospital—Harvard Medical School, the 20th Annual New England Regional Meeting took place on Wednesday, March 30, 2016 at the Hogan Campus Center at College of the Holy Cross in Worcester, MA. As in the past, the meeting was supported by the 10 emergency medicine residency programs of New England: Alpert Medical School of Brown University, U Conn School of Medicine, Yale School of Medicine, Maine Medical Center, Baystate Medical Center, U Mass Medical School, Beth Israel Deaconess Medical Center (HAEMR), Boston University Medical Center, Brigham and Women’s/Massachusetts General Hospital (HAEMR), and most recently, Dartmouth-Hitchcock. Attendance at the event reached 282, representing the highest attendance to date for a New England Regional Meeting. Meeting attenders included 83 attendings, 21 fellows, 119 residents, 27 students, 3 nurses, and 29 non-clinical staff from neighboring New York and states as far away as Texas, Minnesota, Tennessee, and West Virginia. A total of 164 abstracts were selected for presentation from among the 360 abstracts that were submitted for consideration. Abstracts were received from 32 of the 50 United States, as well as from Washington D.C., Canada, Pakistan, Switzerland, and the United Kingdom. Meeting attenders were honored to be joined by SAEM’s Chief Executive Officer, Megan Schagrin who offered a warm welcome from SAEM and discussed the society’s upcoming website redesign, the new AEM Education and Training Journal, and other strategic plans.
Keynote Address Giving the keynote address was Richard E. Wolfe, MD, Chief of Emergency Medicine at Beth Israel Deaconess Medical Center and recent SAEM board member. Dr. Wolfe’s talk, entitled “Emergency Medicine Past, Present, and Future,” reviewed the history of
emergency medicine and how it arose to fill a need for unscheduled care. An accomplished historian of emergency medicine, Dr. Wolfe provided an overview of the original Michigan, Cincinnati, and Virginia plans. He then reviewed current threats to emergency medicine, including overcrowding, proposed health budget cuts, the perceived expense of emergency department visits, and the growth of administrative costs. Dr. Wolfe concluded his talk by offering suggestions for emergency physicians to maintain their role in health care, including developing a gatekeeper function and retaining control over professional practice. He concluded with a quote from Winston Churchill: “Although prepared for martyrdom, I preferred that it be postponed.”
Oral Presentations One exemplary resident from each of the New England emergency medicine residency programs gave a platform oral presentation. These residents were selected by their respective research directors to represent their departments. In no particular order, the residents were: • James Daley, MD, MPH, Yale School of Medicine, “Diagnosis of Pulmonary Embolism Using Tricuspid Annular Plane Systolic Excursion On Bedside Echocardiogram” • Aaron Snyder, MD, University of Connecticut School of Medicine, “Sensitivity of Aortic Outflow Tract Diameter Greater Than 4 cm for Type an Aortic Dissection On CT Angiogram” • Matthew Spanier, MD, Maine Medical Center, “Does Use of a Sepsis Order Set Contribute to Unwarranted Antibiotic Utilization?” • Taneisha Wilson, MD, Alpert Medical School of Brown University, ”Emergency Physician Adherence to Guideline-Based Therapy in a High Fidelity Simulation of Hypertensive Neurologic Emergencies” • Laurel Dezieck, MD, UMass Medical School, ”Use of the PERC4 Model to Develop Targeted Suicide Screening Rulers in the Emergency Department” • Anton Travis Manasco, MD, Boston University Medical Center, ”A Critical
Analysis of Unplanned Transfer to The ICU Within 48 Hours of Admission from The ED” • Peter Pruitt, MD, Massachusetts General Hospital, ”Patients With Mild Traumatic Intracranial Hemorrhage: Are There Low Risk Subdural Hematomas?” • Elizabeth Schoenfeld, MD, Baystate Medical Center, “Physicians’ Motivations for Using Shared Decision-Making in the Emergency Department: An Exploratory Qualitative Analysis” • Audrey Bree Tse, MD, Beth Israel Deaconess Medical Center, “Cognitive Function Decline in EM Physicians During Shifts”
SGEM: DID YOU KNOW?
Career Mentorship During lunch, three tables were designated for career mentorship group discussion. The first mentoring table, led by Adam Kellogg, MD, Baystate Medical Center, Lucienne LuftyClayton, MD, Baystate Medical Center, and Ameer Ibrahim, MD, MS, UMass Memorial Medical Center, was centered on medical students seeking residency positions in emergency medicine. A second mentoring table, led by Jarone Lee, MD, MPH, Massachusetts General Hospital, Andrew Liteplo, MD, RDMS, Massachusetts General Hospital, and Matthew Tyler, MD, Boston Medical Center, was centered on emergency medicine residents seeking fellowships. Finally, the third table, focused on fellows seeking faculty positions and was led by Martin Reznek, MD, MBA, UMass Memorial Medical Center, Mark Neavyn, MD, UMass Memorial Medical Center, and Joseph Schmidt, MD, Baystate Medical Center.
Poster Sessions There were two poster sessions comprised of a total of 72 hard copy posters. Additionally, a total of 61 lightning oral presentations, comprised two lightning oral sessions, each with four tracks. Presentation topics included airway, anesthesia/analgesia, cardiovascular, clinical operations, clinical decision guidelines, critical care/resuscitation, disaster medicine, disease/injury prevention, education, emergency medical services, ethics, geriatrics, healthy policy and health services, imaging, infectious diseases, information technology, international emergency medicine, neurology, obstetrics/gynecology, orthopedics, pediatrics, pulmonary, professional development, research design and methods, simulation, social emergency medicine, toxicology/ environmental, trauma, and ultrasound. The successful afternoon of learning ended with an opportunity to network at a wine and cheese reception. The 20th Annual SAEM New England Regional Meeting was sponsored by the Society for Academic Emergency Medicine. To view the entire regional meeting program, visit www.saem.org/meetings/regionalmeetings/new-england
Elderly Mechanical Falls: Do Sex Differences Exist? By Marna Greenberg, DO More than one-third of adults 65 years of age or older fall each year, and in half of such cases the falls are recurrent. Women live longer than men and virtually all countries have greater numbers of women in the older age strata. These women are disproportionately affected by fall related injuries. While women are more likely to be non-fatally injured in a fall, after controlling for age, the fallrelated death rate is higher for men than for women. To begin effective countermeasures for this public health concern, it would seem prudent to understand the opinions of those at risk. Despite having risks such as previous falls, family concerns for falling, and at-risk medications, men are less likely to consider themselves a fall risk. There is scant published emergency medicine literature regarding patient perceptions about their fall risk, their comfort level regarding discussions related to their fall history, or openness to discussing a home safety plan with their healthcare provider. Further, it is unknown if there are gender differences in these outcomes. Sex-specific research is needed to characterize how and why women and men may differ in their risks and what interventions may be most effective for resuscitation and fall prevention. REFERENCES: – Tinetti, M. Preventing falls in elderly persons. NEJM 2003;348:42-9 – Ginter E, Simko V. Women live longer than men. Bratisl Lek Listy. 2013;114(2):45-9. – Stevens JA, Sogolow ED. Gender differences for non-fatal unintentional fall related injuries among older adults. Inj Prev. 2005 Apr; 11(2):115-19. – Hornbrook MC, Stevens VJ, Wingfield DJ, et al. Preventing falls among community-dwelling older persons: results from a randomized trial. Gerontol 1994;34:16–23.
SGEM “Did You Know?” is a recurring SAEM Newsletter submission designed to present concise facts that demonstrate how patient sex and gender effect emergency care. For further information and resources on Sex and Gender Emergency Medicine, visit the SGEM Interest Group website at http://community.saem.org/communities/ community-home?CommunityKey=ab6db66f-c94b-4ebf-a9a7-5025b69d606c. Submissions to this column are welcome. Please send contributions to coeditors Lauren Walter and Alyson J. McGregor at email@example.com.
RESIDENT-STUDENT GUIDE Senior Residents: Where Should You Go from Here? By Joel Brooks, DO Welcome to your first day as a senior resident in the emergency department. As you put on your long white coat and walk into the hospital on July 1, a nurse hurries up to you and asks for medication orders while another reports a critical lab value on a new patient you haven’t even seen. But because of your residency training, this situation no longer induces the anxiety it once caused. A friend once told me to imagine residency as basic training; in other words, gain as much experience as you can prior to going off to battle. You have worked hard to reach this point, but where do you go from here?
Which path should you choose?
“It is important to be satisfied with the type of physician you choose to be, because medicine is not just a job, it’s a
SAEM NEWSLETTER | JULY-AUGUST 2016
One option is to choose a fellowship. This might be the route for you if you enjoy the practice of general medicine, but also desire the opportunity to further your training in a specific field. If this is your dream path, be sure to be mindful of the application deadlines and prepare for a demanding process very similar to the one you encountered when applying for residency. The Society for Academic Emergency Medicine has a fellowship directory on their website (http://www. saem.org/membership/services/fellowshipdirectory?RecordID=f9b42758-cbba4d02-9911-7b5c29a786a3) that provides information on available training programs. Another option is to enter practice directly upon completion of your residency. If this is your chosen path, there are still many decisions that must be considered, because the practice of medicine is not only an art and a science but also a business. Advanced training may be required to understand: • Methodology of contractual reimbursement • Office and financial management • Medical legal issues • Medical ethical issues • Medical technological advancements • Research opportunities in medicine • Medical student mentoring and education • State and federal regulatory compliance (e.g., Medicaid & Medicare)
What criteria should you use in making your decision? Your colleagues, medical students, residents, mentors, and attending physicians, as well
as non-medical professionals are a good sounding board. Talk to people who know you intimately, like your parents, siblings, or significant other. These individuals will be the ones you rely on for encouragement, advice, referrals, and consultations. They can offer their own unique perspectives and insight. Listen to their ideas when formulating your decision. Ponder on how to build on your strengths and overcome your weaker qualities. Be honest with yourself when considering which life stage you are in, taking into consideration your age, marital status, financial status, and location and practice preference. These are but a few of the factors that will have an impact on your decision.
Many paths beckon, but the right one is yours to discover Fortunately, there are many options from which to choose. You have the opportunity to select a path that represents a combination of several professional goals within a specific lifestyle setting. For example, you might select a hospital located in a large metropolitan area that offers research opportunities as well as a faculty appointment to teach in the medical school. Be creative, grow both professionally and personally, and have fun. Remember, it is never too late to make a change in your life’s course. It is important to be satisfied with the type of physician you choose to be, because medicine is not just a job, it’s a lifelong adventure. Congratulations on preparing to take another giant step in your medical career. As you study for board certification, realize that from now on you will be responsible for maintaining your continuing education and credentialing. Many paths beckon, but you are in charge of crafting your own professional, educational, and life goals. As I reflect back on this past year, I am grateful for the opportunity to touch the lives of my patients, mentees, and colleagues, while discovering my own career path. About the Author: Joel Brooks, DO, is chief resident at Heart of Lancaster Regional Medical Center in Pennsylvania and a Fellow, Yale University School of Medicine.
ANNUAL MEETING WRAP-UP
SAEM16 New Orleans: Our Best Annual Meeting Yet! By Ali Raja, MD, SAEM Program Committee Chair 2015-2016 On final count, 3,053 attendees registered for SAEM16, making it one of our most well-attended annual meetings ever. The meeting location in the heart of one of the most vibrant cities in the country, combined with the pleasant, subtropical New Orleans climate to provide an annual meeting atmosphere that was practically perfect. Add an educational program that was of the highest quality and a special event agenda that provided hours of fun and opportunities to network, and the outcome was an annual meeting that exceeded expectations. Throughout the week social media was ablaze with attendees sharing their excitement and thoughts about the outstanding presentations, events, and competitions they were attending. SAEM16 began with a series of excellent pre-meeting workshops, including the always-eagerly-anticipated consensus conference (this year’s topic was Shared Decision Making). These topic-specific, pre-meeting sessions gave
attendees a forum to meet with others who share similar, focused interests. Similarly, audience-specific symposia for medical students, residents, and both junior and senior faculty, gave attendees opportunities over the course of the event for focused education and networking particular to respective aspects of their careers. Attendees packed the ballroom for Wednesday’s Plenary Sessions. This year’s plenary research presentations were as impressive as they were diverse. Afterward, many attendees conveyed that they were among the best plenaries they had ever attended. The many and varied research and didactic presentations that followed over several days, as well as the lively but instructive SonoGames® and Sim Wars competitions, fulfilled the the SAEM Mission: “To lead the advancement of emergency care through education and research, advocacy, and professional development in academic emergency medicine.”
SAEM16 wasn’t all about academics, however. The opening reception kicked things off in classic NOLA style, with a traditional second line brass band, tarot cards, palm readers, and beads galore. And SAEM’s presence was everywhere, filling two floors of the Sheraton’s magnificent lobby with great people, delicious (and plentiful) New Orleans cuisine, and the sound of exuberance. The fun continued throughout the week, with several receptions and dinners, the SAEMF FUND Run and wine tasting event and, of course, the ultra-competitive dodge ball tournament. SAEM16 was topped off with a “taste of New Orleans”-style closing reception that gave everyone one last chance to catch up and say goodbye before heading off to their respective homes. SAEM16 was one for the books, but the new Program Committee is already planning SAEM17 in Orlando, with the lofty goal of an even better annual meeting next year. See you in 10 months!
ANNUAL MEETING WRAP-UP
Medical College of Georgia’s “Presidential SCANdidates” are 2016 SonoGames® Champions
On May 13, 2016 at SAEM16 in New Orleans, the SAEM Academy of Emergency Ultrasound (AEUS) hosted the 5th annual SonoGames®. The SonoGames® 2016 was a recordsetting, huge success and one of the highlights of SAEM16, drawing more than 500 people into one space! The thrilling, four-hour competition tested emergency medicine (EM) residents from across the country on their ultrasound knowledge, skills and teamwork. A record 73 EM programs, represented by 219 residents in three-member teams, participated in this year’s SonoGames®. Congratulations to the 2016 SonoGames® champions Medical College of Georgia “Presidential SCANdidates” (Drs. Jason Barter, Daniel Reed, Clay Carter and faculty captain Dr. Eric Zevallos) on an amazing victory! The SonoGames® 2016 competition consisted of three rounds, all with new, innovative educational challenges. Round 1: “The Eliminator,” consisted of 40 multiple-choice questions based on clips, images, and articles covering a wide range of point-of-care ultrasound topics. The 15 highest-scoring teams advanced to the second round Round 2: The 15 highest-scoring teams rotated through five different skill stations: 1. 25,000 Hertz Pyramid. This station was modeled after the famous 1970’s TV show the “25,000 Pyramid.” Player 1 chose a square from a pyramid-type board game that flipped open, blasted music, and provided a category. Player 1 was responsible for providing to a blinded Player 2 clues which could not contain any words from the category, or the pyramid square would be forfeited. Once Player 2 guessed the correct category the square flipped again and Player 3 was responsible for scanning the correct anatomical area on the model. The pyramid squares became more difficult and worth higher points as the players advanced to the top. The residents had great fun scanning and dancing to songs like Aretha’s Franklin’s “Think,” (where the teams had to match the “Head Games” category and the scanner had to find the Circle of Willis) and The Supremes “Stop in the Name of Love,” (where the teams matched the “At an Intersection” category and the scanner had to find the stoplight sign for an ultrasound-guided interscalene block). 2. Bourbon Street Bender. While wearing beer goggles to simulate a blood alcohol concentration of 0.20, team members had to scan plastic letters embedded in an opaque solution. Once
a letter was correctly identified, they had to scan as many anatomic structures on a model as they could that started with the same letter. Points were awarded for correctly identifying the letter and the number of anatomic structures scanned. 3. Let’s Get Beaded. This station tested residents’ pattern recognition and spatial awareness by having them build puzzles made of foam board with pathological still images and then demonstrating knowledge of how to scan pathology on a model. Successful completion made teams eligible to throw mardi-gras-style beads onto a pegboard for bonus points, requiring further coordination. 4. Judge Me By My Size? This station used high fidelity simulation cases to test residents’ ability to scan a simulated model and match correct diagnoses and management. This year’s stations focused solely on newly developed pediatric ultrasound cases. 5. Friday the 13th Scan-Off. Teams had to race against experts to obtain images before experts, who were dressed as the classic horror film villains Jason, Freddy Krueger, and Carrie. The experts were handicapped by their costumes and were not able to use their dominant hands. Screams and horror movie music were heard throughout the room. Round 3: This round included the identification of video clips uncovered by the removal of tiles on a board and a “scan-off” in which the audience and judges were blinded to the team performing the scan. The Medical College of Georgia sealed the victory on the 5th scan-off case, taking the cup out of New England for the first time in SonoGames® history. In addition to the main event, awards were given for most creative team names and most creative team uniforms. The winning team names were “Lord Have MRSA” (University of Mississippi), “WES Sign Story” (University of Arizona) and “The EpididyMighties” (University of California, San Francisco Fresno). The awards for best uniform went to “WES Sign Story” (University of Arizona), “Yes We Scan” (University of Connecticut), and “The Brees-O-Electric’s” (University of South Florida). ACKNOWLEDGEMENTS This year’s SonoGames® once again had excellent corporate support. GE, GMI, MedaPhor, Mindray-Zonare, Philips, SonoSim and Sonosite-Fujifilm all provided machines, as well as financial support. A special thanks to all of these companies who help make the SonoGames® possible.
At SAEM16, more than 3,000 SAEM members participated in a week’s worth of networking events and educational sessions, the SAEM Foundation hosted two of these events in support of its mission to improve the emergency care of patients through medical research and scientific discovery: The Wine Tasting & Auction and the 5K FUND Run.
ANNUAL MEETING WRAP-UP
Wine Tasting and FUND Run Events Benefit EM Education and Research
On Wednesday evening, May 11, SAEM members sampled unique wines at the Foundation’s Wine Tasting & Auction. Several wines were auctioned, including a rare 1967 Cockburn Port which was generously donated by Dr. Mark Hauswald and his wife Dr. Nancy L. Kerr. After several rounds of lively bidding among many passionate bidders, the rare port was won by Dr. Jim Miner.
More than 40 walkers and runners gathered early in the morning of May 12 for the SAEM Foundation 5K FUND Run. Participants crossed the finish line in winning form, powering through the sweltering New Orleans heat like champions. ACKNOWLEDGEMENTS The success of the FUND Run could not have been possible without the generosity of our sponsors: Dr. Jill Baren, Dr. Louis Ling, Longue Vue House & Gardens, Altra, Bourbon’s Best, AAEM Resident and Student Association, and Wolters Kluwer. A special thank you to Jill Baren, MD, and Team Penn-EM for winning the SAEMF Crowdrise Fundraising Challenge. Thank you also to Drs. Hauswald and Miner, and all of those who attended the wine tasting event and purchased wines, for supporting academic emergency medicine through your generous gifts.
Thank You to SAEM16 Sponsors and Exhibitors The SAEM16 Exhibition was a sellout success, with annual meeting attenders packing the exhibit hall during open hours and engaging with the 50 exhibitors in attendance. ACH Media Air Force Recruiting Services Allergan USA, Inc. American Academy of Emergency Medicine American College of Emergency Physicians B-Line Medical BRC (Biodynamic Research Corp.) CEP America Eastern Virginia Medical School Edelberg and Associates Elite Medical Scribes EmCare Emergency Medicine Associates
Emergency Medicine Residents’ Association Emergency Service Partners LP Emergency Medicine Physicians EMrecruits GE Healthcare Greenville Health System Hays Innovations Hospital Corporation of America Infinity Healthcare IU School of Medicine, Department of Emergency Medicine Janssen Pharmaceuticals Kaiser Permanente/The Permanente Medical Group, Inc.
Leading Edge Medical Associates Mallinckrodt Pharmaceuticals MEP Health Medtrics Lab National Board of Osteopathic Medical Examiners SAEM On Demand OtoSim Pain Assessment and Management Initiative (PAMI): A Patient Safety Project Penn State Hershey Medical Center Questcare Rosh Review
ScribeAmerica Sharp Medical Products, LLC Sheridan Healthcare Shift Administrators SonoSim Splash Medical Devices TeamHealth TrueLearn, Inc. Texas Tech University Health Sciences Center El Paso, Department of EM VisualDX WestJEM Wolters Kluwer
Post SAEM16 News You Can Use Online SAEM16 Poster Viewer Available Until End of July Did you miss some of the ePoster sessions at SAEM16? The ePoster Viewer, available online at http://eposter.abstractsonline.com/saem/ viewer/, makes it easy for you to browse all of the ePoster sessions by topic or by author.
SAEM16 OnDemand Did you miss some of the educational sessions at SAEM16? The all new SAEM16 OnDemand is a digital library of presentations from the annual meeting. With SAEM16 OnDemand you can experience up to 100 hours of select sessions at your own convenience. Browse the SAEM OnDemand library at http://ondemand.saem.org/
Claim Your SAEM16 CME By July 25 To evaluate SAEM16, claim CME credits, and download a CME certificate, visit http://www.saem.org/annual-meeting/education/evaluations-andcme. CME credit for SAEM16 is available only through the Program Planner (http://saem.org/annual-meeting/education/online-programplanner). You must log in with your SAEM username and password in order to access the CME credit system. Follow the step-by-step instructions available online and claim credit by July 25, 2016.
AEM 2016 Annual Meeting Abstract Supplement The 670 Abstracts and 49 Innovations chosen by the SAEM Program Committee for presentation at SAEM16, May 10-13, in New Orleans, can be viewed at Wiley Online Library at http://onlinelibrary.wiley.com/ doi/10.1111/acem.2016.23.issue-S1/issuetoc. Themes from this year’s body of work include health services studies, the emergency department as a platform for public health, and management of high risk, but low probability, symptoms. These themes help shape thinking, policy, and the use of resources in emergency medicine.
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—Riley Grosso, MD, first time attender, SAEM Annual Meeting
“The 2016 AEM Consensus Conference was well-attended and resulted in defining and developing a high-priority, timely research agenda that is very patient centered. The physicians, researchers, stakeholders, patient representatives, and funders who participated were genuinely engaged in every aspect of the conference, providing the high level of interaction that has come to define AEM Consensus Conferences.” —Corita Grudzen, MD Chair of the 2016 AEM Consensus Conference
Henry Ford ER Takes Home the 2016 Dodge Ball Trophy!
Visual Diagnosis Contest Winners More than 120 cases and photos were submitted to the Program Committee for presentation at SAEM16’s Photography Exhibit and Visual Diagnosis Contest. The selected photos and cases were categorized either “Visual Diagnosis Unknowns” or “Clinical Pearls” and each included a case history, a diagnosis, and “take home” points. The winner in the medical student category was Daniel Ichwan, UCLA. Bjorn Watsjold, MD, from the University of Washington won in the resident category. Each winner will be awarded a one-year membership in SAEM, a subscription to Academic Emergency Medicine Journal (AEM), a free registration to attend SAEM17 in Orlando, FL, a major Emergency Medicine textbook, and a subscription to the SAEM Newsletter.
“What set SAEM16 apart from other medical conferences for me was the focus on the effectiveness of clinical knowledge translation and the development of physicians who will constantly improve on this bank of knowledge. Not one presenter said ‘this is the answer, now go forth and save lives.’ Instead I heard many variations of ‘here is an approach to this problem, now go forth and make us better.’ “Every SAEM16 session I went to, every meeting I sat in, and every conversation I was a part of at this year’s annual meeting was focused on how to make the best emergency physician possible in order to better serve our patients.”
Bjorn Watsjold, MD
The SAEM Awards Committee and the SAEM Board of Directors would like to congratulate the following recipients of the 2016 SAEM Awards. Every one of our winners showed impressive achievements in their categories, and displayed high potential for future contribution to SAEM and the acedemic emergency medicine specialty.
JOHN MARX LEADERSHIP
ADVANCEMENT OF WOMEN IN ACADEMIC EMERGENCY MEDICINE
Jeffrey A. Kline, MD Indiana University
This award honors a SAEM member who has made exceptional contributions to emergency medicine through leadership–locally, regionally, nationally or internationally–with priority given to those with demonstrated leadership within SAEM.
Gail D’Onofrio, MD, MS
EXCELLENCE IN RESEARCH AWARD
HAL JAYNE EXCELLENCE IN EDUCATION
Alan E. Jones, MD
Sally A. Santen, MD, PhD
Complimentary to the Hal Jayne Excellence in Education Award, and as the second pillar of SAEM, this award is presented to a member of SAEM who has made outstanding contributions to emergency medicine through the creation and sharing of new knowledge.
Complimentary to the Excellence in Research Award, and representative of the second pillar of SAEM, this award is presented to a member of SAEM who has made outstanding contributions to emergency medicine through the teaching of others and and the improvement of pedagogy.
ANNUAL MEETING WRAP-UP
SAEM Award Recipients Recognized at SAEM16 Annual Meeting
This award recognizes an SAEM member who has made significant contributions to the advancement of women in academic emergency medicine.
University of Mississippi Medical Center
University of Michigan Medical School
YOUNG INVESTIGATORS This award recognizes up to three SAEM members who have demonstrated commitment and achievement in research during the early stages of their academic careers. (Left)
Michael Alexander Puskarich, MD University of Mississippi Medical Center (Middle)
Kohei Hasegawa, MD, MPH Massachusetts General Hospital (Right)
Marian (Emmy) Betz, MD, MPH University of Colorado
ARNOLD P. GOLD HUMANISM IN MEDICINE
Jay M. Baruch, MD
Alpert Medical School, Brown University This award honors a practicing emergency medicine physician who exemplifies compassionate, patient-centered care.
2016 Medical Student Excellence in Emergency Medicine Award Recipients The Society for Academic Emergency Medicine congratulates the recipients of the 2016 SAEM Medical Student Excellence in Emergency Medicine Award. This award is offered to each medical school in the United States and internationally to honor an outstanding senior medical student. This is the 20th year this award has been made available. Reba Maglin Halsey
Rutgers Robert Wood Johnson Medical School
Michael W. Supples
Eastern Virginia Medical School
Ruben Troncoso Johns Hopkins School of Medicine
Jessica Chow University of California, San Francisco School of Medicine
Darnell Cain Columbia University College of Physicians & Surgeons
Amanda Bates Sidney Kimmel Medical College at Thomas Jefferson University
Brian Hedges Case Western Reserve University School of Medicine
Adam Condra The University of Kansas School of Medicine
Lauren Westover Albany Medical College
New York University School of Medicine
Yale School of Medicine
University of North Carolina - Chapel Hill
Lewis Katz School of Medicine
Perelman School of Medicine at the University of Pennsylvania
Alex William Ireland
The University of Arizona, College of Medicine
Northwestern University Feinberg School of Medicine
Benjamin Blair Covell University of Pittsburgh School of Medicine
Rebecca Miller Gonsalves
Riley Hoyer Victoria Migdal Vanderbilt University School of Medicine
State University of New York Downstate College of Medicine
University of Miami Miller School of Medicine
University of Florida Emergency Medicine
Wake Forest University School of Medicine
University of Miami Miller School of Medicine-Regional Medical Campus
Andrew Lichtenheld Oregon Health & Science University
University of California, Davis School of Medicine
Upstate Medical University
University of California San Diego
Vidya Eswaran Baylor College of Medicine
Lauren Sims University of California, Irvine
Adam Field Florida State University College of Medicine
Brian Dilcher West Virginia University
David Zorko University of Ottawa
Holly J. Irwin Indiana University School of Medicine
Daniel Gerard Funsch Jr. Rutgers New Jersey Medical School
Brandon Ruderman University of Rochester School of Medicine and Dentistry
Luis A. Puchi Weill Cornell Medical College
Anne C. Walsh Haves University of Louisville School of Medicine
Michael D. Coletta Cooper Medical School of Rowan University
Miranda Lewis University of Washington
Joshua Glasser Medical College of Georgia
University of Connecticut School of Medicine
Stephanie L. Kemp
Philadelphia College of Osteopathic Medicine
Sean Thomas Higgins University of Virginia School of Medicine
Washington University School of Medicine
University of Mississippi Medical Center
University of Iowa Roy J. and Lucille A. Carver College of Medicine
Alayna Bosma Loma Linda University Medical School
Kevin Kearney Uniformed Services University of the Health Sciences, F. Edward Hébert School of Medicine
Kelcy Higa John A. Burns School of Medicine
University of Minnesota
University of Maryland School of Medicine
Tulane University University of Michigan Medical School
Christine Louise Kositz
University of Pikeville-Kentucky College of Osteopathic Medicine
Drexel University College of Medicine
University of Missouri-Kansas City
University of Nebraska Medical Center
ANNUAL MEETING WRAP-UP
Jacobs School of Medicine & Biomedical Sciences at the University at Buffalo
Nathan Max Kunzler
Jaymin Patel Miranda Mesloh
University of South Carolina School of Medicine Greenville
Jessie Werner Lavern Keitt, Jr. Medical University of South Carolina
Travis Hase The George Washington University School of Medicine & Health Sciences
Jessica Jackson Aaron Johnson
Arizona College of Osteopathic Medicine
University of Missouri-Columbia
Texas College of Osteopathic Medicine, University of North Texas Health Science Center
Jamie Lynn Schneider
Medical College of Wisconsin
Duke University School of Medicine
College of Osteopathic Medicine of the Pacific
University of South Dakota Sanford School of Medicine
Wright State University, Boonshoft School of Medicine
Icahn School of Medicine at Mount Sinai
Emory University School of Medicine
Harvard Medical School
William Nathan Davis
The University of Toledo College of Medicine and Life Sciences
Jessica Kimi Fujimot
New York Medical College
University of South Alabama College of Medicine
University of Alberta
Memorial University of Newfoundland
Matthew William Kulas University of Manitoba
Natasha Black Boydstun
Kansas City University of Medicine & Biosciences
University of Kentucky, College of Medicine
Rush Medical College
Nathan Grant Davis
University of New England College of Osteopathic Medicine
East Tennessee State University, Quillen College of Medicine
University of Vermont College of Medicine
Jacob Paul Wannemacher The Ohio State University College of Medicine
Kara Barker Jacquelyn Anne LaRussa Louisiana State University School of Medicine
Anupama Atluru University of Texas Southwestern Medical Center
Penn State College of Medicine
Agnes Annetie’ Usoro
The University of Texas Medical Branch at Galveston
David Geffen School of Medicine at UCLA
BRIEFS AND BULLET POINTS SAEM NEWS
Attention Residents, Med Students, and Fellows… Your Membership is About to Expire! Membership dues for SAEM residents, medical students, and fellows will expire on June 30, 2016. Medical students and residents can add an academy to their memberships for an additional $25; for fellows the fee to add an academy membership is $50. Academies provide a forum for SAEM members with special interests or expertise to join together to advance education and research in emergency medicine. To renew your dues, visit the membership webpage at http://saem.org/membership/join-saem.
SAEM JOURNALS Academic Emergency Medicine (AEM) AEM Names First Resident Editor Vanessa Franco, MD, PhD, has been selected to fill the position of resident editor on the editorial board of Academic Emergency Medicine for the 2016-2017 term. The resident editor appointment is part of AEM’s new resident-in-training program designed to provide the resident with an experience that will enhance his/her career in emergency medicine and in scientific publication. During her one-year term on the AEM editorial board, Vanessa will be immersed in every aspect of peer review, editing, and publishing of medical research manuscripts. “I am excited to use this experience to learn new skills that are fundamental to becoming a future leader in EM research”, said Dr. Franco. Vanessa received her bachelor’s degree in neuroscience from the University of Rochester in 2005, graduating cum laude with a distinction in research. She earned her medical degree and a PhD in Neuroscience from the University of Pittsburgh. While completing her PhD, Vanessa was awarded a fellowship from the Clinical and Translational Science Institute and a pre-doctoral fellowship grant
from the NIH. Dr. Franco remained at the University of Pittsburgh to complete a sixmonth post-doctoral research fellowship in the Department of Emergency Medicine, studying cardiac activity throughout a marathon. Following her post-doctoral fellowship, she began her residency in emergency medicine at the University of California, Los Angeles where she will be starting her fourth year of residency in July as a chief resident. Throughout her scientific career, Dr. Franco has published ten peer-reviewed papers, and presented scientific posters at seven meetings.
“We are thrilled to announce Vanessa as the first resident member of the Academic Emergency Medicine (AEM) Editorial Board. –Mark Mycyk, MD, AEM associate editor and coordinator of the editor-in-training program.
Academic Emergency Medicine to Go Green in 2017 Effective January 2017, Academic Emergency Medicine will cease printing a paper journal and will transition to an online-only, digital publication. All other aspects of the journal, including manuscript submission and review, will remain the same. Robust online tools are already available for electronic viewing of the journal through the AEM app (available free from your app store) and pdf and enhanced HTML versions available at the Wiley Online Library: http:/onlinelibrary.wiley.com/ journal/10.1111(ISSN)1553-2712. Content alerts, RSS feeds, Twitter, and other productivity tools are also already available for AEM readers.
Academic Emergency Medicine Education and Training (AEM E&T) New Journal Accepting Submissions in August Beginning in August of 2016 submissions will be accepted for Academic Emergency Medicine Education and Training (AEM
E&T), SAEM’s new, quarterly, peerreviewed, online journal set to launch in January 2017. The journal will be dedicated to the publication of papers focused on the advancement of education and training of emergency care providers and will accept original work related to knowledge transfer achieved by testing new methods to enhance the skill, knowledge retention, and professionalism of emergency care providers in training around the world. For more information, read our interview with AEM E&T editor, Susan Promes in the May/June issue of SAEM Newsletter and a commentary from Editor Promes and AEM Editor-in-Chief, Jeffrey Kline in the June edition of Academic Emergency Medicine. Stay tuned to SAEM’s weekly Hot Off the Wire e-newsletter, the SAEM website, and SAEM social media for submission dates and details, including Author Guidelines.
SAEM FOUNDATION SAEM Foundation Grant Applications Due August 1
The SAEM Foundation has partnered with the Academy of Emergency Ultrasound and the Simulation Academy to provide two new research grant opportunities to SAEM academy members. View all funding opportunities at www.saemfoundation. org. For information on how to apply, please visit the “How to Apply” webpage at http://www.saem.org/saem-foundation/ grants/how-to-apply. Submission deadline for all SAEMF grants is August 1, 2016. Questions can be directed to Foundation@saem.org.
Institutional Research Training Grant Discontinued In an effort to provide the most valuable research grant opportunities for SAEM members, the Institutional Research Training Grant (IRTG) will not be offered this year. The SAEM Foundation strives to improve patient care through scientific discovery and seeks to fund grants that will have the highest impact on individual investigators and the specialty. To view SAEM Foundation grant offerings for this year, visit www.saemfoundation.org. Grant application deadline: Aug. 1, 2016.
SAEM ACADEMIES Academy for Diversity and Inclusion in Emergency Medicine (ADIEM) ADIEM Joins Other EM Representatives to Sponsor EM Exhibit at SNMA Conference Jamila Goldsmith, MD, University of Chicago and member-at-large of SAEM’s Academy for Diversity and Inclusion in Emergency Medicine (ADIEM), along with representatives and emergency physicians from the American College of Emergency Physicians (ACEP), Council of Emergency Medicine Residency Directors (CORD/ EM), Emergency Medicine Residents’ Association (EMRA), American Academy of Emergency Medicine/Resident and Student Association (AAEM/RSA), sponsored a booth at a recruitment fair during the Student National Medical Association (SNMA) 52nd Annual Medical Education Conference, March 23-27, 2016 in Austin, Texas. Students were given the opportunity to learn more about the emergency medicine (EM) specialty and about each organization represented.
ADIEM Co-Hosts SNMA Reception on Behalf of Emergency Medicine SAEM and its Academy for Diversity and Inclusion in Emergency Medicine (ADIEM) joined with ACEP, CORD/EM, EMRA, AAEM/ RSA, the University of Colorado/Denver Health Residency in Emergency Medicine, and the University of Chicago Emergency Medicine Residency Program to host an inaugural evening reception on Friday March 25, 2016, during the Student National Medical Association (SNMA) Annual Medical Education Conference. Approximately 150 students were in attendance throughout the evening. Students had the opportunity to network with emergency medicine residents and physicians who were present from all over the country. In addition to sharing information regarding scholarship offerings for away rotations, emergency medicine residents mingled and shared their experiences about life as residents. Faculty members gave their insight on emergency medicine and how to be competitive applicants. (The Student National Medical Association (SNMA) provides support to underrepresented
Increasing Diversity in Emergency Medicine There is a strong need to improve health care disparities and creating a diverse workforce is one solution. Emergency medicine in particular is reported to have only 14% of its residents who identify as URM (UnderRepresented Minority).i The number of URMs in emergency medicine is reported to be lower than other specialties such as obstetrics and gynecology (23.4%), family medicine (21.1%), pediatrics (19.9%), general surgery (18.6%), and internal medicine (17.3%).ii i, ii – Landry, A. M., Stevens, J., Kelly, S. P., Sanchez, L. D., & Fisher, J. (2013). Under-Represented Minorities in Emergency Medicine. The Journal of Emergency Medicine, 45, 100-104.
medical students through nationwide programming efforts which help to create culturally competent, socially conscious, and clinically excellent physicians.)
SAEM COMMITTEES Research Committee Research Committee Develops Online Resources to Support SAEM Members’ Research To help researchers across the spectrum, the SAEM Research Committee has developed a curated collection of research resources that will be incorporated into the new and improved SAEM website. These member-only resources will include: links to standard research reporting guidelines; fillable templates; practical instructions on how to develop a screening log and other research documents; examples of successful grant applications; and much more. In a related project, the committee compiled a list of foundations that fund emergency medicine related research. This list is intended to serve as a resource for anyone in the emergency medicine community who wishes to do research and is looking for funding. It does not include governmental sources. It too will be published online as part of the SAEM website redesign. If you have any resources, please share them with firstname.lastname@example.org.
Research Committee at SAEM16 In keeping with its goal of supporting research across the continuum of academic emergency medicine, the SAEM Research Committee organized a variety of didactics and pre-meeting offerings at SAEM16:
• A redesigned Grant Writing Workshop with intensive mentorship from some of our best-funded EM researchers. New offerings included linking junior researchers with mentors who were working in the same area • An ongoing “Rotating Research Curriculum” didactics series to introduce SAEM members to the basics of clinical research. Topics ranged from “introduction to the IRB” to an overview of qualitative and quantitative methodology. • The third annual “Lion’s Den” (modeled after the popular TV show Shark Tank) at which intrepid junior researchers presented their research concepts to a panel of senior EM researchers and, in turn, gained valuable critiques, suggestions, and the opportunity to “win” the mentorship of one of the muchsought-after panelists. • Four didactics that demystified the NIH application process for all varieties of investigators, ranging from T32s to K’s to the upcoming SIREN applications. (The Research Committee is extremely thankful to the NIH representatives who made time to attend the meeting and share their expertise.)
IN OTHER NEWS… Closing of Subspecialty Practice Pathways
2016 is the final year for physicians who wish to apply for certification in Internal Medicine–Critical Care Medicine (IMCCM) through the practice pathway. All eligibility criteria must be completed by June 30, 2016, and all practice pathway applications must be postmarked no later than the last date of the 2016 IM-CCM application cycle. After June 30, 2016, all applicants for IM-CCM certification must have completed an ACGME-accredited IM-CCM fellowship. The practice pathway for Anesthesiology Critical Care Medicine (ACCM) will close in 2018 on the final date of the 2018 ACCM application cycle. The practice pathway for Emergency Medical Services (EMS) will close in 2019 on the final date of the 2019 EMS application cycle. If you have any questions about subspecialty certification, please contact ABEM at email@example.com, or 517-332-4800, ext. 387.
ACADEMIC ANNOUNCEMENTS Duke University School of Medicine Michael Hocker, MD, has accepted a position at the Medical College of Georgia in Augusta as vice dean and co-director of the Leadership Academy for their health system and assistant GME director overseeing CLER development. He will also receive an appointment as professor and Distinguished Harrison Endowed Chair, and serve as service line chief over all emergency and hospitalist services. During his tenure as the chief of the division of emergency medicine at Duke University, Dr. Hocker has overseen tremendous growth in the emergency department, including the development of a highly competitive residency program, a robust research portfolio with both industry and federal funding, and a leading clinical trials program. Dr. Charles Gerardo has been appointed as interim chief of emergency services for Duke University. Joshua Broder, MD, was awarded the Duke University Master Clinician/ Teacher Award, which is given each year to two individuals for superlative accomplishment and service in the area of medical school/ medical center teaching. The award honors those individuals who have made an extraordinary commitment to teaching, “above and beyond” normal expectations. Dr. Broder was also a leader of a collaboration that received a $100,000 Coulter-Stanford Grant for development of a novel ultrasound device. Duke University School of Medicine student Harvey “Pendell” Meyers received an honorable mention for the ACEP Academic Affairs 2016 National Outstanding Medical Student Award. Drs. Alexander Limkakeng and Sam Francis both received Duke PDC ENABLE Grants. The grants provide for protection of 25% effort for clinical faculty to collaborate with basic science
investigators. Dr. Limkakeng will study the use of stress-delta metabolomics to identify myocardial ischemia. Dr. Francis will collaborate with Dr. Gow Arepally to develop an assay for Platelet Factor 4 (PF4), a platelet-derived protein and assess its use as a marker for venous thromboembolism.
University of Massachusetts Medical School Kavita Babu, MD, associate professor of emergency medicine and the Medical Toxicology Fellowship Program Director at the University of Massachusetts, won the institution-wide Sara Stone Excellence in Education Award. Made in recognition of Dr. Babu’s profound teaching ability, it is the first such award conveyed to the UMass Department of Emergency Medicine faculty. Sneha Chinai, MD, assistant professor of emergency medicine and associate program director at the University of Massachusetts Medical School, has received the 2016 AWAEM (Academy of Women in Academic Emergency Medicine) Award for Outstanding Early Career Achievement. In addition to resident teaching and clinical responsibilities, Dr. Chinai has investigated the impact of empathy teaching among learners.
Drexel University College of Medicine Arvind Venkat, MD, has been promoted to Professor of Emergency Medicine in the Drexel University College of Medicine as of February 2016. Dr. Venkat serves as the vice chair for research and faculty academic affairs in the Department of Emergency Medicine and System Ethics Committee Chair at Allegheny Health Network, a regional campus of Drexel in Pittsburgh, PA.
CALLS AND SUBMISSIONS Calls for Papers 2017 AEM Consensus Conference May 16-19, 2017, Hyatt Regency, Orlando, FL Submission deadline: April 17, 2017 Catalyzing System Change Through Health Care Simulation: Systems, Competency, and Outcomes Accepted manuscripts will present original, high-quality research. Research papers on this topic, if accepted, will be published together with the conference proceedings in the December 2017 issue of Academic Emergency Medicine. All submissions will undergo peer review and publication cannot be guaranteed. For information contact the conference co-chairs William Bond, MD (William.F.Bond@jumpsimulation.org), Rosemarie Fernandez, MD (firstname.lastname@example.org), and Joshua Hui, MD (email@example.com)
Calls for Proposals 2019 AEM Consensus Conference May 14-17, 2019, The Mirage Casino-Hotel, Las Vegas, NV Submission deadline: April 8, 2017 For details & instructions visit: www.saem.org/meetings/future-dates 2020 AEM Consensus Conference May 12-15, 2020, The Sheraton Denver Downtown Hotel, Denver, CO Submission deadline: April 8, 2018 For details & instructions visit: www.saem.org/meetings/future-dates
Academic, VA, and Community Opportunities Located in beautiful Milwaukee, WI, the MCW Department of Emergency Medicine is growing! Our ED at Froedtert Hospital completed an expansion in January 2016, and we are increasing our daily physician coverage hours. We are recruiting for two faculty to complete our coverage. The Department also seeks faculty who are interested in joining our Zablocki Veterans Affairs Medical Center (VA) staffing complement. We are adding two positions to our faculty in order to provide Monday-Friday, daytime coverage at the VA. Additionally, the Froedtert Health System is opening a free-standing ED at the Moorland Reserve Health Center. We are recruiting six faculty for single provider coverage at this new community ED, to be opened in July, 2016. All faculty members could have clinical responsibilities at one or more of these sites. The Department of Emergency Medicine at MCW has nationally and internationally recognized experts in EMS and Disaster Medicine, Toxicology, Injury Prevention and Control, Cardiac Resuscitation, Global Health, Ultrasound, Medical Education, and Process Improvement. The Department is ranked in the top 20 NIH funded departments of emergency medicine. Interested applicants should submit a curriculum vitae and letter of interest to Dr. Stephen Hargarten, Department Chairman and MCW Associate Dean, at firstname.lastname@example.org.
BRIGHAM AND WOMEN’S HEALTHCARE CHIEF, DIVISION OF EMERGENCY ULTRASOUND
The SAEM Newsletter “Briefs and Bullet Points” section publishes academic appointments and announcements, calls and submissions, event and meeting dates, deadlines, and SAEM Academy, Committee, Interest Group, and Task Force news and information. Send all content (50 to 75 words each) to email@example.com. The next content deadline is August 1, 2016 for the September/October issue.
The Department of Emergency Medicine at Brigham and Women’s HealthCare (BWHC) is seeking an emergency medicine physician to lead the department’s Division of Emergency Ultrasound. The appropriate candidate will be eligible for academic appointment at Harvard Medical School at the rank of Instructor or Assistant Professor or Associate Professor commensurate with experience, achievement, recognition, and planned participation in teaching and scholarly activities. The position offers unparalleled opportunities for professional development, a competitive salary, and an outstanding comprehensive benefit package. BWHC is intensely committed to the personal and professional development of our providers. Successful candidates must have successfully completed a four year residency training program in Emergency Medicine, or a three year program followed by a fellowship or one year in practice, and must be board prepared or certified in Emergency Medicine. Demonstrated successful leadership experience is required. More information on the Division may be found at http://www.fa.hms.harvard. edu/open-faculty-positions/ Interested candidates should send a letter and Curriculum Vitae to Michael VanRooyen, MD, MPH, Professor and Chair, Department of Emergency Medicine, Brigham and Women’s Hospital. Please apply by confidential email to firstname.lastname@example.org. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.
DEPARTMENT OF EMERGENCY MEDICINE
EMERGENCY MEDICINE FACULTY (INSTRUCTOR THROUGH PROFESSOR LEVEL) The University of Pittsburgh and UPMC have full-time opportunities for emergency medicine residency-trained and board certified/eligible candidates with specific interest in Women’s Health and Women’s Emergency Care. The Emergency Department at Magee-Womens Hospital of UPMC is a national leader in women’s health care with a deep and diverse EM faculty recognized for excellence in research, teaching, and clinical care. The Magee ED currently sees 25,000 patients each year while training residents, fellows, and students. APP coverage is deployed covering shifts over the highest volume times in the ED. Academic clinician, clinician-investigator or clinician-educator career opportunities exist. Salary is commensurate with experience and duties. For further information, write to: Donald M. Yealy, MD, Chair Department of Emergency Medicine University of Pittsburgh Physicians 3600 Meyran Avenue, Suite 10028 Pittsburgh, PA 15260
UPMC and The University of Pittsburgh are Equal Opportunity Employers for Minorities/Women/Vets/Disabled.
BRIGHAM AND WOMEN’S HEALTHCARE EMERGENCY TOXICOLOGY RESEARCHER The Department of Emergency Medicine at Brigham and Women’s HealthCare (BWHC) is seeking an emergency toxicology researcher for the department’s new Division of Emergency Toxicology. The appropriate candidate may be eligible for academic appointment at Harvard Medical School at the rank of Instructor or Assistant Professor, commensurate with experience, achievement, recognition, and planned participation in teaching and scholarly activities. More information may be found at http://www.fa.hms.harvard.edu/ open-faculty-positions/junior-positions/ Successful candidates must have successfully completed a four year residency training program in Emergency Medicine, or a three year program followed by a fellowship or one year in practice, and must be board prepared or certified in Emergency Medicine. Preference will be given to candidates who are board certified in toxicology. Interested candidates should send a letter and Curriculum Vitae to Michael VanRooyen, MD, MPH, Professor and Chair, Department of Emergency Medicine, Brigham and Women’s Hospital. Please apply by confidential email to email@example.com.
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Department of Emergency Medicine Residency Program Director
The Department of Emergency Medicine (EM) at the Sidney Kimmel Medical College of Thomas Jefferson University is seeking a Director for its Residency Program. Over the last two years, the Department of EM, along with Thomas Jefferson University, has undergone a transformation that will lead innovation in healthcare. We are committed to reimagining health, health education, health delivery, and discovery in effort to create unparalleled value for its patients and be the most trusted healthcare partner. To this effect, the Program Director (PD) will help lead forward-thinking education. We are seeking a motivated, accomplished individual with both the experience in residency leadership and a passion for medical education. In addition to providing oversight of the daily operations of the residency, the PD will be expected to use all available resources at TJU to chaperone the residency program into the most innovative and progressive graduate medical education (GME) program in its field. The PD will integrate innovative approaches in medical education for its residents, including, but not limited to, educational technologies; active learning; simulation-based opportunities; asynchronous learning; and design thinking. The Department is determined to prepare its graduates for the landscape of the future of EM practice. Together with the Vice Chair for Education, the PD will develop and lead strategies to integrate EM-based educational opportunities in telehealth, observation medicine, acute care transitions, population heath, and clinical operations. The PD will be an active member of the senior leadership of the Department; the GME program; the Sidney Kimmel Medical College; TJU Hospitals; and Emergency Medicine at large. The Department of EM is composed of TJU Hospital Center City, a 700-bed academic quaternary-care, Level-1 Trauma Center that treats 60,000 emergency patients annually; and the Methodist Hospital Division of TJUH, a 200-bed community hospital that treats 43,000 emergency patients annually. The residency is a three-year program with thirteen residents per year. The Department boasts fellowships in Medical Education, Emergency Ultrasonography, and Telehealth; a required student clerkship in EM and Advanced Clinical Skills for 4th-year medical students; and access to a robust faculty development program. Additional information on the Emergency Department is available at: http://www.jefferson.edu/university/jmc/departments/emergency_medicine.html Successful candidates will be residency trained and board certified in EM; have a minimum of three years experience EM practice; have demonstrated scholarship in EM and medical education; be familiar with instructional design; and have held an educational leadership role in GME. Academic appointment will be commensurate with experience and scholarship. The Sidney Kimmel Medical College at Thomas Jefferson University values a diverse and inclusive community, as it allows for the fruition of the University’s missions in patient care, education, and research; and best provides for the health needs of the public. Thomas Jefferson University and Hospitals is an Equal Opportunity and an Affirmative Action Employer; values diversity; and strongly encourages applications from women, members of minority groups, those underrepresented in medicine, Lesbian, Gay, Bisexual, Transgender and Questioning (LGBTQ) individuals, disabled individuals, and veterans. Eligible candidates are encouraged to send their curriculum vitae to: Dimitrios Papanagnou, MD, MPH, EdD (c), Vice Chair for Education Department of Emergency Medicine, Thomas Jefferson University Hospitals at Dimitrios.Papanagnou@jefferson.edu, (215) 955-9837
Department of Emergency Medicine The Department of Emergency Medicine of the Perelman School of Medicine at the University of Pennsylvania is seeking candidates for several Assistant, Associate, and/or Full Professor positions. Faculty candidates who have strong academic and leadership potential combined with a strong desire to be part of an outstanding, highly motivated and highly productive group of colleagues are urged to apply.
• Assistant, Associate & Full Professor Clinician-Educator track (non-tenure): We are seeking candidates for several Assistant, Associate, and/or Full Professor positions in the non-tenure clinician-educator track. The successful applicant will have experience in the field of Emergency Medicine. Applicants must have an M.D. degree and have demonstrated excellent qualifications in education, research, and clinical care. Board-eligible or board certified in Emergency Medicine. Of particular interest are candidates with demonstrated clinical or academic interest and/or additional fellowship or post-residency research methodology training or desire to focus in the following areas: critical care, clinical research (particularly clinical trials), medical education, resuscitation, and rural-urban medicine partnerships. An exclusive nocturnal reduced clinical schedule is available for any of these positions. Clinician-Educator track applicants will be expected to show evidence of scholarship and may perform collaborative research. APPly OnlinE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d4325
• Assistant, Associate & Full Professor Tenure track: We are seeking candidates for several Assistant, Associate, and/or Full Professor position in the tenure track. The successful applicant will have experience in the field of Emergency Medicine. Applicants must have an M.D. degree and have demonstrated excellent qualifications in education, research, and clinical care. Board-eligible or board certified in Emergency Medicine. Of particular interest are candidates with demonstrated clinical or academic interest and/or additional fellowship or post-residency research methodology training or desire to focus in the following areas: critical care, clinical research (particularly clinical trials), medical education, resuscitation, and rural-urban medicine partnerships. An exclusive nocturnal reduced clinical schedule is available for any of these positions. Tenure track applicants will be expected to establish and maintain independent, extramurally funded research. APPly OnlinE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d4327
• Assistant, Associate & Full Professor Academic Clinician track: We are seeking candidates for several Assistant, Associate, and/or Full Professor positions in the non-tenure academic-clinician track. The successful applicant will have experience in the field of Emergency Medicine. Applicants must have an M.D. degree and have demonstrated excellent qualifications in education and clinical care. Board-eligible or board certified in Emergency Medicine. Of particular interest are candidates with demonstrated clinical or academic interest and/or additional fellowship or post-residency research methodology training or desire to focus in the following areas: critical care, clinical research (particularly clinical trials), medical education, resuscitation, and rural-urban medicine partnerships. An exclusive nocturnal reduced clinical schedule is available for any of these positions. Academic Clinician track applicants are not required to do research. APPly OnlinE AT: https://www.med.upenn.edu/apps/faculty_ad/index.php/g321/d4326
Penn Medicine is comprised of three hospital emergency departments and observation units (Hospital of the University of PennsylvaniaHUP; Penn-Presbyterian Medical Center-PPMC; and Pennsylvania Hospital-PAH) with a combined annual emergency department census of 145,000 visits. Each site has a unique, diverse, highly acute patient population consisting of local and referral patients. Penn Medicine is a world class academic institution with superb clinical facilities and programs, the number two ranked medical school in the nation, and a rich and collegial research environment. The Department of Emergency Medicine has a 4 year, highly successful, academically oriented residency program with 44 residents, multiple fellowships including one of only six niH funded K12 clinical research fellowships and several nationally acclaimed research programs housed within its Center for Resuscitation Science and the Center for Emergency Care Policy Research. There are over 90 faculty across the three sites and there are close academic affiliations and programmatic alliances with the Children’s Hospital of Philadelphia and the Philadelphia Veterans Affairs Medical Center. Faculty positions will be structured across multiple sites according to skills, interest and clinical availability.
We seek candidates who embrace and reflect diversity in the broadest sense.The University of Pennsylvania is an EOE. Minorities/Women/Individuals with disabilities/Protected Veterans are encouraged to apply.
2340 S. River Road, Suite 208 Des Plaines, IL 60018
NON PROFIT ORGANIZATION U.S. POSTAGE PAID SAEM
17 REGISTRATION OPENS DECEMBER 1 May 16-19 • Hyatt Regency • Orlando